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Douglas County  7130
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Pay Range GC20


This classification is second within a four-level series and provides journey-level public health nursing services at a variety of clinic and community settings and/or home visits throughout the County. The community health nurse will assess needs of individuals, families, groups, and/or the community, determine a plan to meet those needs, implement that plan and then evaluate the results. The emphasis is on promotion of health and prevention of disease. The community health nurse frequently is the primary health advisor to a family.

This classification is distinguished by the greater amount of independence of field nursing as the primary provider of nursing services to individuals and groups throughout the County. A great deal of judgment is used in determining needs that differ with each client, recognizing and responding to those deviations.


(Duties assigned to this classification include, but are not limited to, the following examples. Any one position may not perform all listed tasks.)

1. Perform skilled public health nursing services at home, clinic, or other settings to clients in areas of adult, child and prenatal health, family planning, communicable disease. Assist physician or nurse practitioner, interview client, family, and others; gather medical history, conduct examination and lab work, assess needs, environment, and existing treatment; plan and administer immunizations, treatment and medication, monitor results.

2. Counsel clients in preventative care, health education, and promote physical and emotional health and prevention of disease. Refer clients to other health resources as needed. Follow up with clients, by phone or home visit, regarding treatment and/or referrals made during clinic visit.

3. Provide nursing services to developmentally disabled or at risk children and their families. Discuss services available, assist in utilizing services. Assess and identify child and family medical, social and/or educational needs and coordinate service team to meet client and family needs.

4. Provide public health nursing services to schools and parents in health screening, immunizations, and health education classes.

5. Provide educational information to individuals, families, agencies, community groups, and professionals on appropriate health related topics.

6. Establish and maintain client recordkeeping; maintain statistical information for reporting purposes.

7. Seek out and identify health-related community resources.


Knowledge of: Considerable knowledge of professional nursing theories, principles, practices, and procedures as applied to community health nursing services; considerable knowledge of medications and medical/lab equipment and testing provided through community health services; Skill in: Interviewing and counseling techniques; skill in planning and implementing immunizations; Ability to: Communicate effectively in both oral and written forms; utilize screening and assessment skills to assess levels of wellness, determine plan to meet needs, implement that a plan and monitor the results; plan/consult with physicians, source agencies, families of clients and community; participate within a team unit; establish and maintain records, reports, and statistical data; make decisions independently in accordance with established policies and use initiative and judgment in carrying out tasks and responsibilities; conduct research and to compile and analyze data; utilize problem identification and resolution techniques; remain calm and use good judgment during confrontational or high pressure situations; courteously meet and deal effectively with other employees, clients and families, employees, Health Officer, physicians, community agencies, schools and public.

Education, experience and training: Bachelor's degree in nursing with coursework emphasis in public health and one year progressively responsible work experience in a public health setting. Current Oregon Registered Nurse License and at time of appointment, must possess a valid Oregon driver's license.


Work is performed under the general direction of a community health nurse 4. Recurring routine assignments are independently performed by employee on basis of past experience. The employee receives general instructions regarding the scope and approach to projects or assignments, but procedures and problem resolution are left to employee discretion and interpretation. Employee estimates and manages time efficiently. Work is reviewed periodically to ensure determinations and decisions made are in compliance to department policy and procedures.

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